11-0614 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: X11=00.000614
Property Address: 48445 LEGACY DR
APN: 658-130-011-10 -31379 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2900
Applicant:
���
c&t!t 4 4 Q"
Architect or Engi er:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Profgoonals Code, and my License is in full force and effect.
License Class: B Li enieNo.: 942804
C Date: • (� ►_)_ r jt --Contractor:
v
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY '
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
DRAKE PHILIP
48445 LEGACY
LA QUINTA, CA
(
DRIVE UNIT 228
92253
Contractor:
KOMPLETE INC
79409 PASEO DEL
LA QUINTA, CA 92
(760)625-6720
Lic. No.: 942804
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/07/11
�r
2011 1
REY
2 53 cry €�`39PJ iii
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier GUARD INS GROUP Policy Number KOWC110176
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if 1 should become subject to a worker ' ompensation provisions of Section
3700 of the Labor Code, I shall forthwitl ty wi hose provisions.
Dater 7—//�--Applicant:
WARNING: FAILURE TO SECURE WOR S' COMPENSATI N COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby aut rize representatives
of this county to enter upon the above-mentioned property for inspection' oses.
Date: b �� /� r Signature (Applicant or Agent):
Application Number . . . . . 11-00000614
Permit . . .
ELECT - ADD/ALT/REM
Additional.desc . .
Permit Fee . . . .
15.75
Plan Check Fee
3.94
Issue Date
Valuation . . .
. 0
Expiration Date
12/04/11
Qty- Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 .7500
----------------------------------------------------------------------------
PER ELEC
DEVICE/FIXTURE 1ST 20
.75
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
21.00
Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
12/04/11
Qty Unit Charge
. Per
Extension
BASE
FEE
15.00
1.00 6.0000
-------------------------------------------------------=--------------------
EA PLB
FIXTURE
6.00
Permit . . .
WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . .
19.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 608
Expiration Date
12/04/11.
Qty Unit Charge,
Per
Extension
BASE
FEE
15.00
2.00 2.0000
HND BLDG
501-2,000
4.00
------=---------------------------------------------------------------------
Special Notes and Comments
BLOCK WALL 38 LN FT X
4 FT HT TO
CITY
STANDARDS & APPROVED
PLANS. ONE WATER
LINE HOSE BIB AND (1)
ELECTRICAL
OUTLET
PER APPROVED PLANS &
S.T.
----------------------------------------------------
Other Fees . . . . .
-----------------------
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged
----------
----------
Paid Credited
---------- ----------
Due
------------ -
-----------------
Permit
Permit Fee Total.
55.75
.00 .00
55.75
Plan Check Total
9.19
.00 .00
9.19
Other Fee Total
1.00
.00 .00
1.00
Grand Total
65.94
.00 .00
65.94
LQPERMIT
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EXISTING TREE
2'
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CITY OF LA QUINTA �
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCT
....:.,�
—ued
EXISTING PILASTER
TO REMAIN
EXISTING PATIO WALL
TO BE DEMOLISHED
I�
NEW POST 16" x 16"
HEIGHT 51"
NEW PATIO WALL
Existing open patio to remain
Proposed open patio to enlarge
TOTAL open patio
122 SQ.FT.
125 SQ:FT.
247 SQ.FT.
Bin #
Permit # I
Project Address: 41944S-
Z2
E1944S- -2�QAi
A. P. Number: '4-
Contractor: *t 14*GhC,
Address: x 43 Fot $,e,4
City, ST, Zip: Q� Q
Telephone: P 16O Co W G1 Zo
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
tuilding Permit Application and Tracking Sheet
�t-- Owner's Name:
Address: y 8 •t (� a p r
City, ST zip. 4.:c.lit, 9z.2 -s'3
r
Telephone:
Project Description:
State LIC. # : -)-Fe- ® City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Tele hone'''
P x . .. v„ f`4% ••, Construction Type' Occupancy
1 ��: Y.€x
State Lic. #: s;,..,. cs 'r'{:.. Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: i e �0, Sq. Ft.: # Stories: # Units:
Telephone# of Contact Person: rt Eitry y” �'7 E a
tt I Submittal
Plan Sets
Structural Caics.
Truss Calcs.
Title 24 Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
o stimated Value of Project: Z 9 0 ® z.:;.—
APPLICANT: DO NOT WRITE BELOW THIS LINE
q'd Rec'd TRACKING PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
Electrical
2od Review,.ready for correctionsfissue
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Grading
Pians resubmitted
Review, ready for correctionslissue
Developer Impact Fee
Called Contact Person
A.I.P.P
Date of permit issue
I.—
Total Permit Fees
P
. Iq
30
om
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X Q
O N
O N
O CNli W
N T c'%
Cli N D
o
� EXISTING TREE
EXISTING PILASTM—
TO BE DEMOLISHED
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
APPROVE®
FOR CONSTRUCTION
1 ' EXISTING PILASTER
TO REMAIN
EXISTING PATIO WALL
TO BE DEMOLISHED
NEW POST 16" x 16" L
HEIGHT 51"
NEW PATIO WALL
Existing open patio to remain 122 SQ.FT.
Proposed open patio to enlarge 125 SQ. FT,
TOTAL open patio 247 SQ. FT.